Provider Demographics
NPI:1538170790
Name:AIR AMBULANCE SERVICES CORP
Entity type:Organization
Organization Name:AIR AMBULANCE SERVICES CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-582-3278
Mailing Address - Street 1:7623 SOUTHAMPTON TER APT 405B
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-9138
Mailing Address - Country:US
Mailing Address - Phone:305-582-3278
Mailing Address - Fax:904-395-9000
Practice Address - Street 1:7623 SOUTHAMPTON TER APT 405B
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-9138
Practice Address - Country:US
Practice Address - Phone:305-582-3278
Practice Address - Fax:904-395-9000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL470771-83416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport